| NPI | 1174935183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9310331) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9310331) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9310331) | |
| Enumeration Date | 2014-05-25 |
| Last Update Date | 2016-01-25 |